Revolutionary War Pension and Bounty Land Warrant Application File S 5179, Henry Gates, Mass.

SERVICE
NUMBER
Mass.
Gates, Henry
85179
CONTENTS

Massachusetts - 31.390.
Henry Gates
of Worcester Co. in the State of Massrs. who was a capt & pri. in the confy commanded by Captain Drury - of the regt commanded by Col Nixn in the Massrs - line for
2 years capt. & private.
Inscribed on the Roll of Massachusetts. at the rate of 81 Dollars 1 Cent per annum. to commence on the 4th day of March, 1831.
Certificate of Pension issued the 24 day of April, 1838 and sent to Emory Washburn, Worcester, Massrs.
Arrears to the 4th of March, 1838 = 567:07 Semi-ant. allowance ending 4 Sept. '38 = 40.50
$607:57
{ Revolutionary Claim, } { Act June 7, 1832. }
Recorded by S. A. Elliott Clerk, Book 2. Vol. 2 Page 30.

DECLARATION, in order to secure the benefit of the Act of Congress, passed June 7, 1832.
COMMONWEALTH OF MASSACHUSETTS.
COUNTY OF WORCESTER, ss.
ON this fourth day of December in the year of our Lord, eighteen hundred and thirty seven personally appeared in open Court, before Ira Barton Esquire Judge of Probate now sitting Henry Gats a resident of Hubbardston in the County of Worcester and Commonwealth of Massachusetts, aged eighty years, who being first duly sworn according to law, doth on his oath make the following declaration, in order to obtain the benefit of the act of Congress, passed June 7th 1832.
THAT he entered the service of the United States under the following named officers and served as herein stated.
He enlisted in Capt Thomas Doyen company of Framingham in Col Nixons Regiment of Massachusetts Troops on the first day of May 1775 for the term of eight months and marched to Cambridge and was there until the Battle of Bunker Hill in which Battle he took a post. He was severely wounded in that battle having had his right cheek bone broken in his right jaw bone broken and his skull was fractured whereby he has ever since been an invalid and is now in the receipt of a pension as an invalid. He was confined after this battle at the Camp Hospital & from there to a Hospital in Framingham with a number of other wounded soldiers. He belonged to the Army & drew pay as a soldier during the said eight months when he was discharged. He immediately thereafter re-enlisted into Capt Adiam Wheelers Company in Col Nixons Regiment for the term of one year and was at Cambridge where he was employed in such duties as he was able to do till he was discharged by leave of Gen John Sullivan permitted to return to his father where he remained except occasionally visiting the camp at Cambridge to receive orders from his officers during the year, he being at home the remainder of the time on account of his total inability arising from his wound. In 1778 the 1st day of April he enlisted as a member of a company of guards under Capt John Holmes of Hopkinton, to go to Cambridge & guard the soldiers of Burgoyne then prisoners at War and did so for three months when he was discharged. In August 1779 he enlisted for four months to do service on the Castle as it was then called, in Boston Harbor and staid one month when he was discharged by the order of Captain Belcher the then commandant of the Company, on account of his still further inability.
He hereby relinquishes every claim whatever to a pension or annuity except the present, and declares that his name is not on the pension roll of the agency of any state, except as an invalid a said Invalid Pension Pension as already
Sworn to and subscribed the day and year aforesaid.
Before me
Henry Gats
on Probate page of the Court of Probate for said County of Worcester

We Samuel Swan a Clergyman residing in the Holland and residing in Holland hereby certify that we well acquainted with Henry Gates who has subscribed and sworn to the above declaration, that he believe him to be eighty years of age, that he is reputed and believed in the neighborhood where he resides, to have been a soldier of the revolution, and we concur in that opinion. Sworn and subscribed the day and year aforesaid.
Isaac Patton Judge of Probate  Samuel Swan
And the said court do hereby declare their opinion, after the investigation of the matter, and after putting the interrogatories prescribed by the War Department, that the above mentioned applicant was a revolutionary soldier, and served as he states. And the court further certifies, that it appears to them that Samuel Swan Esq. who signed the preceding certificate, is a clergyman, resident in the town of Holland and that  he who has also signed the same is a resident in the town of Holland and is a credible person, and that his statement is entitled to credit.
Isaac Patton Judge of the Court of Probate for said County
I Charles G. Prentiss , Register of of the Court of Probate for Worcester do hereby certify that the foregoing contains the original proceedings of the said Court in the matter of the application of Henry Gates for a pension.
IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Court this ninth day of December in the year of our Lord eighteen hundred and thirty-seven.
Rolls. Vol. 14. p 81 - on Fri. Dec. 75 - 19. 182 - Copley 3 no 307 85 - 25 - 21. - Fri. 288-79 - 1. 202 - " 148-79 proof for 12 mo. 76-
admitted Dec. 30th Copley 20. 27. 04 Fri 81. 01
Chas. G. Prentiss, Register of said Court of Probate.
Emory Washburn Worcester Mass.

Affidavits George Galt

I George Gates of Antrim, in the County of Hillsborough and State of New Hampshire, aged 84 years, depose and say, that I am well a Revolutionary pensioner pursuant under the act of June 7, 1832. - that I am well acquainted with Henry Gates now of Hubbardston in the County of Worcester and Commonwealth of Massachusetts. that he is my brother, and at the commencement of the Revolutionary war, he resided at Framingham, in the County of Middlesex, and Commonwealth of Massachusetts. that the said Henry Gates enlisted with me, as a volunteer, in the Revolutionary service, on the first of May 1775 at Cambridge, Massachusetts, under Captain Thomas Drowny for eight months and was attached to Col. John Niven's Regiment. that he served with me, till the 17th of June 1775 when he was wounded, at the Battle of Bunker Hill, and was carried off to the Hospital at Cambridge from whence, by the permission of his officers, he was removed home by his Father to Framingham aforesaid where he remained unfit for duty, in consequence of his wound during the remaining term of the eight months. That at the expiration of the eight months, on the first of January 1776, he enlisted again, as a volunteer at Cambridge aforesaid, under Captain Adam Wheeler in the Revolutionary service for one year and was attached to Col. John Niven's Regiment. that he joined the army at Cambridge aforesaid and remained about a month, but was unfit for duty in consequence of his wound, it was not healed, and he was permitted by his officers to return home to Framingham aforesaid where he remained during the time of his enlistment sick with his wound.
George Gates
State of New Hampshire Hillsborough ss. November 9. 1837. Personally appeared the above named, George Gates and made oath, that the foregoing affidavit, by him subscribed is true. Before me.
Lake Woodbury Justice of the peace.
I do hereby certify, that I am well acquainted with the above named George Gates, the deponent and believe him to be a credible witness.
Lake Woodbury Justice of the peace.

I Andrew Wallace Clerk of the Superior Court of Judicature for the County of Hillsborough in the State of New Hampshire do hereby certify that Luke Woodbury within named is a Justice of the Peace for said County of Hillsborough as within mentioned and by law duly au- thorised to take Depositions, and that the within and foregoing signatures, purporting to be his, are genuine.
In testimony whereof, I have hereunto affixed the seal of said Court and subscribed my name, this eleventh day of November Anno Domini 1837.
A. Wallace Clerk

Suffolk ss — Boston  March 22 1808 personally appeared Henry Gates a Soldier in the late revolutionary war, and made Oath that he is the same Henry Gates named in a Letter from the Secretary of War, dated the 2 nd May 1808, to the Commissioner of Loans in Massachusetts, directing him to place the said Henry Gates on the United States Pension list at the rate of five dollars p r month commencing on the 9 th March 1808 that he now resides in the Town of Hubbardston, in the County of Worcester, previously, which he resided at Framingham, in the County of Middlesex. —
Deferre Stephen Johnson Justice of Peace

aw
July 27, 1906
off

Gates, Henry
His name appears on a list of claimants to be placed on the pension list returned by the District Court for the District of Massachusetts, submitted to the House of Representatives by the Secretary of War on April 25, 1794, and printed in the American State Papers, class 9, page 110.
Rank: Private
Regt: Col. J. Nixon's
Disability: Wounded by a ball, that entered his cheek, and was taken out of the back part of his head; lost his hearing.
When and where disabled: June 17, 1775, Bunker's Hill.
Residence: Framingham.
Monthly allowance: $3.33 \frac{1}{3}
Arrearages: $50
Remarks: There are no rolls for the year 1775 in this office.

AW
July 9, 1906.
L. M. H.

Gates, Henry
His name appears on a list of applicants for invalid pension returned by the Circuit Court for the district of Massachusetts, submitted to the House of Representatives by the Secretary of War on Dec. 14, 1792, and printed in the American State Papers, class 9, page 63.
Rank: Private
Regt.: Colonel Nixon
Disability: Wounded in his head by a ball which passed through the same.
Date of commencement: Oct. 15, 1792
Monthly allowance: $ 3, 33 1 / 3
Arrears due: $50.

Encl.
Reahan
5149
INVALID.
File No. 5179
Henry Bates
Prin. Mass. Coll.
Act: _____
Index: — Vol. m , Page 137
[Arrangement of 1870.]
See 29823 Div.
Arr. 2 1/2 3 Mit. Heist. to Clark Fairbanks, Ins. Agnt. F. H. Wiggins Arr. 2 1/2 3 Mit. Heist. w. H. A. Boutelle Delaware & Hudson Canal Co. Albany, N.Y. Jan. 12 1/2 Mit. Heist. 4 Waldo E. Fuller, 453 State Ave. Brooklyn, N.Y. See also cases 3 nos. marginal Rir 706 X.

\begin{array}{r} 24 \quad - \\ 3 \text{ mo. } 3 \\ \hline 20 \quad 127 \end{array}

In July 1780 there was an alarm from R Island and he again marched as a soldier to that state as far as Howlands Berry under Capt Buckminster in Col Gleasons Regiment - he was some times called Glason - where he served two weeks and was then discharged
He has since made a claim under this act because as he has stated he has been for many years an invalid Pension & he was informed that he could not draw a pension in addition to that & until recently informed to the contrary supposed such to be the case
He files herewith the depositions of Ebenezer Hemenway & George Gates as wi- dence of his having performed the service stated in his aforesaid declaration.
To answer the several interrogatories respecting I was born in Framingham county of Middlesex Commonwealth of Massachusetts March 22 1757 I suppose my birth is recorded in Framingham - I lived in Framingham till after the Revolution was over soon after which I removed to Hubbardston where I have ever since lived. I volunteered at all my terms of service. I never received any discharge I believe none were given until the latter part of the war. I was never discharged or discharged by verbal orders of my officer. I am known to all the principal inhabitants of Hubbardston.

Rev
simon Davis for Jan 29. 1871 balance of $8 per mo: spice a no. cat:
J. L. Edwards Esq Pension
Union Office Jan 29. 1871

Sir
When you returned the Enclosure papers to me I was confident I had administered the oath to the Ex-slavery surgeons but that there might be no mistake I wrote them enclosing the papers which they have returned assuring me that I did do it. The certificate was omitted at the time by reason of having at the moment other business on my hands & so was forgotten. I hope the old man will now have his certificate for he is suffering for the want of his money as they do not allow him to draw
I have the honor to be Your obedt Servt J Davis

Dec 26 Massachusetts Henry Gales Act 7. June 1832.
Home See

Worcester Dec 22 1837
Dear Sir
At the Request of Mr Gates the applicant in the enclosed petition I enclose his papers to the end that he may be placed upon the pension roll under the act of 1832. I had advised him that he could not receive a pension under that act without giving up his pension as an invalid, but he has recently been informed by one of our Senators in Congress that he may receive both - accordingly the papers have been prepared. It will be perceived that he does not relinquish his Invalid Pension. As to the service there can be little doubt. His personal appearance disfigured as he is from the wounds he received in the war of the Revolution would offer a clear demonstration of the truth of as part of his statement.
Please address me in reply when his claim shall be acted upon -
Respectfully Emory Washburn
(Worcester Mass)

See let to Hon. J. Davis, Oct 28, 1837.
Massachusetts
Henry Gates Private in
Captain Dorr's company of the Col. Nixon's Regt. Mass s line.
Ratio of disability, total
Date of discharge, — — — — —
Time of closing the testimony, — — — — —
Inscribed on the Roll of Massachusetts
at 5 8 increased to dollars per month, to commence on the 24 April 1816.
New Certificate of pension issued on the 2 nd of Feb: 1831 and sent to Hon J. Davis N.P.
Arrears to 4th
annu l all o ce ending
of the

See pages 2 & 4
12.1
WAR DEPARTMENT,
PENSION OFFICE, JUNE 11, 1828.
Rules and Regulations for substantiating Claims to Pensions.
VIDE "An act to provide for persons who were disabled by known wounds received in the Revolutionary War," passed the 10th of April, 1806; revived and continued in force for six years longer, by an act of the 25th of April, 1812; revived and continued in force for one year longer, by the act of the 15th May, 1820; revived and continued in force six years, by the act of February 4th, 1822; and again revived and continued in force for six years longer, by the act of May 24th, 1828.
"SEC. 2. And be it further enacted, That, in substantiating such claim, the following rules and regulations shall be complied with, that is to say: all evidence shall be taken on oath or affirmation, before the judge of the district, or one of the judges of the territory in which such claimant resides, or before some person specially authorized by commission from said judge.
"Decisive DISABILITY, the effect of a known wound or wounds, received while in the actual service and line of duty against the common enemy, during the Revolutionary war, must be proved by the affidavit of the commanding officer of the regiment, corps, company, ship, vessel, or craft, in which such claimant served; or of two other credible witnesses to the same effect, setting forth the time when, and place where, such known wound or wounds were received; and particularly describing the same.
"The nature of such DISABILITY, and in what degree it prevents the claimant from obtaining his subsistence, must be proved by the affidavit of some reputable physician or surgeon , stating his opinion, either from his own knowledge and acquaintance with the claimant, or from an examination of such claimant, on oath or affirmation, which, when necessary for that purpose, shall be administered to said claimant by said judge or commissioner. And the said physician or surgeon, in his affidavit, shall particularly describe the wound or wounds from whence the disability appears to be derived.*
"Every claimant must prove, by at least one credible witness, that he continued in service during the whole time for which he was detached, or for which he engaged, unless he was discharged, or left the service in consequence of some derangement of the army, or in consequence of his disability resigned his commission; or was, after his disability, in captivity or on parole, until the close of the Revolutionary war. And
* Resolved, by the Senate and House of Representatives of the United States of America in Congress assembled, That the Secretary for the Department of War return to the respective district judges the names of all such persons as have been transmitted to him by the several district judges, pursuant to the act for the regulation of claims to invalid pensions, and in whose cases the examining physicians have neglected to specify the ratio of disability; together with such defective returns of physicians. And the said district judges, respectively, shall forthwith cause the examining physicians to specify the several rates of disability which have been so neglected; or, in case of sickness, death, or removal of one or both such physicians, to make new appointments, and cause the several rates of disability to be specified, and by the said physicians returned to them as soon as may be; of which they shall make return to the Secretary of War, &c. &c.
VIDE Law of the 18th April, 1796.—Laws of the U. S. vol. 3. page 574.

in the same manner must prove his mode of life and employment since he left the service, and the place or places where he has since resided, and his place of residence at the time of taking such testimony.
"Every claimant shall, by his affidavit, give satisfactory reasons why he did not make application for a pension before, and that he is not on the pension list of any State; and the judge, or commissioner, shall certify, in writing, his opinion of the credibility of the witnesses, whose affidavits he shall take, in all those cases, where, by this act, it is said the proof shall be made by a credible witness or witnesses. And, also, that the examining physician or surgeon is reputable in his profession.
"SEC. 3. And be it further enacted, That the said judge of the district, or person by him commissioned, as aforesaid, shall transmit a list of such claims, accompanied by the evidence, affidavits, certificates and proceedings had thereon, in pursuance of this act, noting particularly the day on which the testimony was closed before him, to the Secretary for the Department of War," &c. &c. &c. "And it shall be the duty of the judge, or commissioner, aforesaid, to permit each claimant to take a transcript of the evidence and proceedings had respecting his claim, if he shall desire it, and to certify the same to be correct."
"SEC. 5. And be it further enacted, That an increase of pension may be allowed to persons already placed upon the pension list of the United States, for disabilities caused by known wounds received during the Revolutionary War, in all cases where justice shall require the same: Provided, That the increase, when added to the pension formerly received, shall in no case exceed a full pension."
"Every invalid making application for this purpose shall be examined by two reputable physicians or surgeons, to be authorized by commission from the judge of the district where such invalid resides; who shall report in writing, on oath or affirmation, their opinion of the nature of the applicant's disability, and in what degree it prevents him from obtaining a subsistence by manual labor; which report shall be transmitted, by said physicians or surgeons, to the Secretary for the Department of War," &c. &c. &c.
166 28 0 33 3 3
Extract from an act of Congress of the 25th of April, 1808, entitled "An Act concerning Invalid Pensioners.
"SEC. 4. And be it further enacted, That any officer, non-commissioned officer, musician, or private, who has been wounded or disabled since the Revolutionary War, while in the line of his duty, in the actual service of the United States whether he belong to the military establishment, or to the militia, or any volunteer corps, called into service under the authority of the United States, may be placed on the pension list of the United States, at such rate of compensation, and under such regulations, as are prescribed by the act, entitled 'An act to provide for persons who were disabled by known wounds received in the Revolutionary War,' passed April the tenth, one thousand eight hundred and six."
The act of the 25th April, 1808, is not limited.
Act of 18th April, 1814.—Depositions substantiating claims to pension may be hereafter taken before any judge of any of the courts of the State or Territory in which such person may reside; the certificate of the clerk of the court whereof the said judge is a member, sufficient to prove his being such judge.

Ellen Kempenway Deposition. —

I Ebenezer Wemenway of Marlborough in the County of Berkshire and State of New Hampshire aged Twenty Seven years last May depose and say - that I have been acquainted with Henry Gates now of Hubbardston in the County of Worcester and State of Massachusetts & formerly of Framingham in said State for twenty years. - We lived in the same town Framingham while boys and until some years after the Revolutionary War. Said Gates is now before me and is the same person above named. - We were school mates and near neigh- bors. -
I knew of said Gates enlisting in the first eight months service in 1775. under Captain Thomas Drury of Framingham that he left home in the Spring of that year and was absent until after the Battle of Bunker Hill, and was back home wounded in the head immediately after that battle. - I recollect seeing his wound - he was shot in his right cheek and his under jaw was dislocated. - He remained home under the care of the Doctor through that season. - The next winter  January 1776 he enlisted at

Said Framingham under Captain Adam Wheeler of Hubbardston for one year, and was absent during the year - and then returned home to Framingham. -
In 1778 - said Guts enlisted again for three months to guard the Burgoyne men at Cambridge and was absent during that term. - I was at the taking of the Burgoyne and knew at the time that a portion of the prisoners were kept at Cambridge. - said Guts went into this service in the spring of 1778. -
In the next year 1779 - I noticed his going, as was said at the time, to the castle in Boston harbour. - I knew of his going & think he was gone not up than a month - the time I cannot state with certainty. -
- In 1780. I knew of his being out on an alarm to Rhode Island under Captain Buckminster, in Col Leason's Regiment - he was in this service two weeks - I was with him. -
State of New Hampshire Cheshire ss.
Robenezor Hemenway
Nov 13 th 1837 Subscribed & sworn to Before me
Wm Edwards Jus Peace

I certify that Ebenezer Wemenway the foregoing deponent is known to me, and is a man of good character and unquestioned veracity,
Thomas M. Edwards,
Justice of the Peace
State of New Hampshire Cheshire County ss.
I Henry Coolidge Clerk of the Superior Court of Judicature for the County of Cheshire, certify that Tho. M. Edwards is a justice of the Peace in and for the County of Cheshire, duly commissioned and qualified and that his name subscribed to the fore- going certificate, is his genuine signa- ture.
In witness whereof I have hereunto set my hand and affixed the Seal of said Superior Court at Keene this 13 th day of November A.D. 1837.
H. Coolidge, Clerk

INCREASE OF PENSION.
IT IS HEREBY CERTIFIED, that Henry Gates formerly a private of captain Thomas Dury's company, in the Massachusetts Regiment of Col. John Nixon
who, it appears by the accompanying certificate, (a) was placed on the pension roll at the rate of five dollars
per month, on account, as he states, of having received a (b) (c) wound by a musket ball under the right eye which fractured the jaw and was removed behind the ear. The wound has produced a paralysis of all that portion of the face, and loss of the right eye and and in consequence of such wound and disability he is wholly unable to support himself by manual labour. That he was since wounded while in the line of his duty, and in the said service, on or about the seventh
day of June in the year seventeen hundred and eighty at a place called Bunker Hill in the state or territory
of Massachusetts , is not only still disabled in consequence
of the said injury, but, in our opinion, is entitled to _____ more than he already receives as a pensioner, being disabled to a degree amounting to (b) _____ a total disability. Done at
Worcester Massachusetts December 15 th 1830
John Green } Surgeon.
Benj. F. Heywood } Surgeon.
Worcester J. Decr 15-1831 Then appeared John Green & Benja F. Heywood who are men of high reputation and professional skill and made oath to the truth of the above statement by them subscribed Before me John Davis Justice of the Peace
(a) The pension certificate, which must be sent to the War Department.
(b) Here state the degree of disability, say, one-third, one-half, three-fourths, or otherwise, as the case may be.
(c) Here particularly describe the disability, and state its origin and progress.
The above affidavit must be made before a magistrate duly qualified to administer oaths, and his official character and signature must be certified by the proper officer, under his seal of office. The magistrate must certify that the Surgeons are reputable in their profession.
If the claimant is within thirty miles of an Army Surgeon, he must obtain his testimony.

Jan 9. 1838
Sir
The Enclosed papers relate to a poor old invalid prisoner who has not been able to draw his pension for some time because he has no certificate. He is miserably cut to pieces and infirm. He is in great straits and I hope his case will be attended to without delay - I believe he has followed your directions
Respectfully your Obedt Servt J Davis

14. INCREASE OF PENSION.
United States.
Massachusetts DISTRICT, ss.
To Doctor Green of Worcester and Doctor Heywood of Worcester in the County of Worcester said district.
Pursuant to an act of Congress of the United States, passed the 24th of May, 1828, entitled "An act to revive and continue in force 'An act to provide for persons who were disabled by known wounds received in the Revolutionary War, and for other purposes;'" you are hereby appointed and authorized to examine Henry Gates who is inscribed on the Pension List of the United States, and is claimant for an increase of pension, conformably to the 5th section of the act of the 10th April, 1806, revived as aforesaid; and you are to report, in writing, and on oath or affirmation, your opinion of the nature of his disability, and in what degree it prevents him from obtaining a subsistence by manual labor; and in your proceedings in the premises you are to be regulated and governed by said act.
Given under my hand and seal, at Boston this twenty sixth day of August in the year one thousand eight hundred and thirty
J. Davis U States District Judge for Mass's District

13 ORIGINAL CLAIM.
United States.
DISTRICT, ss.
I, _____ Judge of the District Court of the United States of America for the _____ District, by AUTHORITY of an act of Congress, passed the 24th day of May, 1828, entitled "An act to revive and continue in force an 'Act to provide for persons who were disabled by known wounds received in the Revolutionary War, and for other purposes,'" DO HEREBY ESPECIALLY AUTHORIZE AND COMMIS- SION _____ of the _____ and district of county of _____ to take all evidence pursuant to the rules and regulations of the said act, for substantiating the claim of _____ of the town of _____ _____ in the county of _____ and district of _____ to be placed on the Pension List of the United States, by reason of known wounds received in said war, or since, (as prescribed in the fourth section of "An act concerning invalid pensioners," passed the 25th of April, 1808,) while in the actual service of the United States, and in the line of his duty. And when the same shall be completed, to return the evidence, affidavits, certificates, and proceedings had hereupon, together with this commission, to the Secretary for the Department of War.
Given under my hand and seal, at _____ the _____ day of _____ in the year one thousand eight hundred and _____

APPLICATION FOR A NEW CERTIFICATE.
Commonwealth of Massachusetts
County of Worcester ss.
On this sixteenth day of June 1830, before me, the subscriber, a Justice of the Peace for the said county of Worcester personally appeared Henry Gates who, on his oath, declares that he is the same person who formerly belonged to the company commanded by Captain Thomas Denny in the regiment commanded by Colonel John Nix in the service of the United States; that his name was placed on the pension roll of the State of Massachusetts  that he received a certificate of that fact, under the signature and seal of the Secretary of War: which certificate, on or about the  182  at or near  which is hereunto annexed  but has never rec d a formal certificate, and now wishes to obtain one
Henry gates
Sworn and subscribed to, before me, } the day and year aforesaid. }
John Davis Justice of the peace
NOTES.—The last four blanks are left for the applicant to set forth the time, place, and manner of the loss or destruction of the original certificate.
The oath to be taken before a duly qualified magistrate, whose official character and signature must be properly authenticated.
□ If the pensioner has never received a formal certificate, but has drawn his pension on a mere notification, as was the case in a few instances many years ago, he should leave out the above words in italics, and insert, in lieu thereof, " but has never received a formal certificate, and now wishes to obtain one. "
The pensioner's oath must be supported by the evidence of another person as to identity. The person must swear that he well knows him to be the same person described in the above affidavit. The magistrate must certify that the deponent is a person of veracity. This oath must also be authenticated by the certificate of the proper officer, under his seal of office, setting forth that the officer before whom the affidavit may be made is a Justice of the Peace, Judge, or Notary Public, as the case may be.
When a person acting as an Agent or Attorney for a Pensioner, loses the certificate, the affidavit of that person is also required, which must be authenticated as above.

We the subscribers practicing physicians of the town of Worcester do hereby certify that after careful Examination in the case of Henry Gates who is now on the pension roll of the State of Massachusetts are of opinion, that his disability in total does still continue; and further that the degree of disability under which he labors is total being no less than the degree of disability for which he was placed on the pension roll
John Greene M.D. Benj F Heywood M.D.
Sworn to before me John Davis Justice of the peace Dated this 19 th day of Nov. A.D. 1829 at Worcester in the State of Massachusetts
I also certify that Drs Green & Heywood are personally known to me as regular physicians since surgeons of high professional reputation and of undoubted veracity
John Davis Justice of the peace in & for the County of Worcester